Dental Bonding (White restorations)

Bonding is the application of a tooth-colored composite resin (plastic) to repair a decayed, chipped, fractured or discolored tooth. Unlike veneers, which are manufactured in a laboratory and require a customized mold to achieve a proper fit, bonding can be done in a single visit. The procedure is called bonding because the material bonds to the tooth.

Benefits of Dental Bonding

• Repairs decayed teeth (composite resins are used to fill cavities)
• Repairs small chipped or cracked teeth
• Improves the appearance of discolored teeth
• Closes space and gaps between teeth
• Makes teeth look longer
• Changes the color and shape of teeth
• As cosmetic alternative to amalgam fillings
• Protects a portion of the tooth’s root that has been exposed when gums recede

Procedure for Dental Bonding

• Preparation. Little advance preparation is needed for dental bonding. Anesthesia is often not necessary unless the bonding is being used to fill a decayed tooth Your dentist will use a shade guide to select a composite resin color that will closely match the color of your tooth.
• The bonding process. The surface of the tooth will be roughened and a conditioning liquid applied. These procedures help the bonding material adhere to the tooth. The tooth-colored, resin is then applied, molded and smoothed to the desired shape. An ultraviolet light or laser is then used to harden the material. After the material is hardened, your dentist will further trim and shape it, and polish it to match the sheen of the rest of the tooth surface. Time-to-completion. The procedure takes about 30 to 60 minutes per tooth to complete.

Recovery expectations
Since bonding does not result in the removal of any tooth structure, there should be little or no sensitivity.

Care for Dental Bonding

• Simply follow good oral hygiene practices. Brush your teeth at least twice a day, floss at least once a day and see your dentist for regular professional check-ups and cleanings.
• Because bonding material can chip, it is important to avoid such habits as biting fingernails; chewing on pens, ice or other hard food objects; or using your bonded teeth as an opener. If you do notice any sharp edges on a bonded tooth or if your tooth feels odd when you bite down, see your dentist.

Dental Crown

Porcelain crowns and caps
Dental crowns are restorations that protect damaged, cracked or broken down teeth. A crown strengthens your existing, damaged tooth so as to preserve its functionality. Dental crowns are also commonly known as caps (because a crown sits over your existing tooth, covering the entire outer surface).

Crowns can be all metal, porcelain fused to metal (PFM), or all ceramic crowns. Metals include gold alloy, other alloys (palladium) or a base-metal alloy (nickel or chromium). The all-metal or PFM crowns are stronger and are better choices for back teeth. PFM and all-ceramic crowns look just like normal teeth.

Benefits of Dental Crowns

• Protects severely damaged tooth or tooth weakened by decay, fracture, large fillings or root canal therapy from fracturing. Teeth with large fillings tend to “flex more” forcing the tooth apart possibly causing stress fractures
• Holds together cracked or weaken teeth and seal the tooth from decay
• Covers discolored and irregularities in teeth in improving cosmetic appearance
• Helps preserve the natural function and position of the teeth
• Restores tooth with large decay, cavities or filings
• Supports the replacement teeth in a bridge
• Restores and maintains natural bite
• Covers a dental implant
• Restore your smile

Procedure for Dental Crowns
The course of treatment described here is one of several options available at our dental clinic. Consult your dentist to find out what the best solution is for you, given your specific condition.
Preparing a tooth for a crown usually requires two dentist visits, the first step involves examining and preparing the tooth, the second visit involves placement of the permanent crown.

First Visit: Evaluation and crowns tooth preparation

• A few X-rays may take to check the roots of the tooth receiving the crown and surrounding bone. If the tooth has extensive decay or if there is a risk of infection or injury to the tooth’s pulp, a root canal treatment may first be performed.
• Local anesthesia is administered at the region for crown tooth preparation
• The natural tooth is reshaped to receive the new dental crown
• If a large area of the tooth is missing (due to decay or damage), a filling material will be used to “build up” the tooth to support the crown.
• Records are taken and approved with the patient to determine the color, bite, length and shape of the crown
• An impressions taken for a replicate model of the teeth
• This model is sent to the dental laboratory where the individual personal crown is fabricated (The crown usually return from laboratory in 3 to 4 days).
• A temporary crown is placed on while the permanent crown is made
• Fitting the crown on delivery

Second Visit: Receiving the permanent dental crown

• The temporary crown is removed
• A quality assurance including check the fit and color of the permanent crown is done for any re-adjustments of the dental crowns
• If everything is acceptable, a local anesthetic will be used to numb the tooth and the new crown is permanently cemented in place.

Postoperative care Instructions for Dental Crowns
Both the preparation and placement of the temporary crown as well as the bonding of the permanent crown may cause some minor tenderness in the area. Some individuals may experience sensitivity in teeth. This sensitivity will disappear gradually over a few days to weeks.

• Avoid chewing on or eating hard foods on the restorations for 24 hours from the time they were cemented
• To help with discomfort or swelling rinse your mouth 3 times a day with warm salt water. (1tsp. of salt in 8oz of water)
• Keep crown area clean to maintain tissue compatibility (the contour of the prosthesis must allow the surrounding tissue to conform to a natural, healthy position)
• Some sensitivity in teeth may be experienced by certain patients. This sensitivity will disappear gradually over a few days to weeks. If teeth are sensitive
• Avoid hot, cold or acidic food and beverages
• Pain medication be taken as directed as long as there is no medical contradiction based upon your medical history
• Use fluorides rinse and toothpaste for sensitivity teeth
• Clean teeth properly

Care for Dental Crowns
Dental crowns require the same regular and consistent home and professional dental care, as your natural teeth to prevent decay at the tooth-dental crown junction. To provide optimum longevity for your restorations, please follow the home care tips below:

• Brush after eating and before bedtime around the crown with a soft toothbrush, especially where the crown meets the gum line. At the gum line harmful bacteria can be accumulate to cause decay and gum disease.
• Floss at least once to twice a day. Use the proxy brush or dental floss to remove plaque under and around these areas to maintain good oral hygiene. Build up of food debris and plaque on your teeth and gums can become infected.
• Rinse with fluoride rinse before bed. Swish the fluoride rinse vigorously in your mouth for at least one minute. Do not swallow any of the rinse and do not eat or drink anything for 30 minutes
• Be careful about chewing toffees, gum, grainy rolls and tough food in this area
• See your dentist for regular professional check-ups and cleanings

Types of Dental Crowns

• • Metals used in crowns include gold alloy, other alloys (palladium) or a base-metal alloy (nickel or chromium). Compared with other crown types, less tooth structure needs to be removed with metal crowns, and tooth wear to opposing teeth is kept to a minimum. Metal crowns withstand biting and chewing forces well and probably last the longest in terms of wear down. Also, they rarely chip or break. The metallic color is the main drawback. Metal crowns are a good choice for out-of-sight molars.
  • Porcelain-fused-to-metal dental crowns can be color matched to your adjacent teeth (unlike the metallic crowns). However, more wearing to the opposing teeth occurs with this crown type compared with metal or resin crowns. The crown’s porcelain portion can also chip or break off. Porcelain-fused-to-metal crowns look most like normal teeth. However, sometimes the metal underlying the crown’s porcelain can show through as a dark line, especially at the gum line and even more so if your gums recede. These crowns can be a good choice for front or back teeth.
  • All-resin dental crowns are less expensive than other crown types. However, they wear down over time and are more prone to fractures than porcelain-fused-to-metal crowns.
  • All-ceramic or all-porcelain dental crowns provide the best natural color match than any other crown type and may be more suitable for people with metal allergies. However, they are not as strong as porcelain-fused-to-metal crowns and they wear down opposing teeth a little more than metal or resin crowns. All-ceramic crowns are a good choice for front teeth.
  • Temporary versus permanent. Temporary crowns can be made in your dentist’s office whereas permanent crowns are made in a dental laboratory. Temporary crowns are made of acrylic or stainless steel and can be used as a temporary restoration until a permanent crown is constructed by the dental laboratory.

Dental Bridges

Bridges
Dental bridges are meant to replace missing teeth by “bridging” the gap between two remaining teeth. This involves creation of a pontic, or false tooths with a dental crown on either side. The crowns are fitted over the remaining teeth to hold the false tooth in place.

Benefits of Dental Bridges
Replace missing tooth/teeth.
Helps balance a normal bite.
Helps prevent undesirable stress on the dental ridge.
Prevents over-eruption of the opposing teeth.
Prevents drift and tilt of adjacent teeth.
Prevents tooth decay in adjacent drifted teeth.
Retards onset of gum diseases

>Types of Dental Bridges

Traditional bridges Traditional bridges involve creating a crown for the tooth or implant on either side of the missing tooth, with a pontic in between. Traditional bridges are the most common type of bridge.

Cantilever bridges Cantilever bridges are usually used when there are adjacent teeth on only one side of the missing tooth or teeth.

Maryland bridgesMaryland bridges also called a resin-bonded bridges or a Maryland bonded bridges. Maryland bridges supported by a metal framework which have metal wings on each side of the bridge are bonded to the back of existing teeth.

Types of Dental Bridge Materials
There are three basic types of materials for dental bridges:

• • • Porcelain fused to metal dental bridges
    • All porcelain dental bridges
    • All metal dental bridges (Gold)

The all porcelain dental bridges and porcelain fused to metal (PFM) dental bridges are tooth colored bridges. PFM dental bridges are usually used to restore back teeth where the forces of chewing and grinding are strongest. All porcelain dental bridges are the most aesthetic and are used almost exclusively for front teeth where the need for strength is not as critical. Gold dental bridges are the most durable and offer the most precise fit. Gold dental bridges do not chip.

Procedure for Dental Bridges Treatment
The course of treatment described here is for traditional bridges, one of several options available at our dental clinic. Consult your dentist to find out what the best solution is for you, given your specific condition.
First Visit: evaluation and bridge tooth preparation

• • • Local anesthesia is first administered at the region of bridge tooth preparation
    • The natural teeth adjacent to the missing gap is reshaped to receive the dental bridge
    • Records are taken and approved with the patient to determine the color, bite, length and shape of the bridge
    • An impressions of your teeth are made, which serve as a model for dental technician.
    • This model is sent to lab where the individualized bridge is fabricated
    • A temporary bridge is placed on to protect the exposed teeth and gums while the permanent bridge is made
    • Fitting of bridge on delivery

Second Visit: Receiving the permanent dental crown

• • • The temporary bridge is removed
    • The new permanent bridge will be checked and adjusted, as necessary, to achieve a proper fit.
    • A quality assurance check is done for any re-adjustments of the dental bridge. Multiple visits may be required to check the fit of the metal framework and bite. This is dependent on each individual’s case.
    • The permanent bridge is fitted and cemented into place on the teeth

Postoperative care Instructions for Dental Bridges
Both the preparation and placement of the temporary bridge as well as the bonding of the permanent bridge may cause some minor tenderness in the area. Some individuals may experience sensitivity in teeth. This sensitivity will disappear gradually over a few days to weeks.
Replacing missing teeth should actually make eating easier but until you become accustomed to the bridge, eat soft foods that have been cut into small pieces.

• • • Avoid chewing on or eating hard foods on the restorations for 24 hours from the time they were cemented
    • To help with discomfort or swelling rinse your mouth 3 times a day with warm salt water. (1tsp. of salt in 8 oz of water)
    • Keep crown area clean to maintain tissue compatibility (the contour of the prosthesis must allow the surrounding tissue to conform to a natural, healthy position)
    • Some sensitivity in teeth may be experienced by certain patients. This sensitivity will disappear gradually over a few days to weeks. If teeth are sensitive :
    • Avoid hot, cold or acidic food and beverages
    • Pain medication be taken as directed as long as there is no medical contradiction based upon your medical history
    • Use fluoride rinse and toothpaste for sensitivity teeth
    • Clean teeth properly

Care for Dental Bridges
Dental bridges require the same regular and consistent home and professional dental care, as your natural teeth to prevent decay at the tooth-dental crown junction. It is important to keep your remaining teeth healthy and strong to provide optimum longevity for your restorations since the bridge long term success depends on the solid foundation offered by the surrounding teeth. To accomplish that, please follow the home care tips below:

• • • Brush after eating and before bedtime around the bridge with a soft toothbrush, especially where the bridge meets the gum line. At the gum line harmful bacteria can be harbored to cause decay and gum disease.
    • Floss at least once to twice a day. Use the proxy brush or super floss to remove plaque under and around these areas to maintain good oral hygiene. Build up of food debris and plaque on your teeth and gums can become infected.
    • Rinse with fluoride rinse before bed. Swish the fluoride rinse vigorously in your mouth for at least one minute. Do not swallow any of the rinse and do not eat or drink anything for 30 minutes
    • Be careful about chewing toffees, gum, grainy rolls and tough food in this area
    • See your dentist for regular professional check-ups and cleanings

Inlays and Onlays

Dental inlays and onlays are restorations used to repair rear teeth that have a mild to moderate amount of decay. They can also be used to restore teeth that are cracked or fractured if the damage is not severe enough to require a dental crown. Inlays and onlays are usually made from porcelain, composite resin, and sometimes even from gold. Because they can be created from tooth-colored materials, inlays and onlays are often used to replace metal fillings for patients who desire a more natural looking smile. Read on to find out about how inlays and onlays may be able to enhance your smile’s health and appearance.

Benefits of Dental Inlays and Onlays:

• • • Increase the strength of a tooth with respect to fillings
    • Alternative to an crown when teeth damage is not extensive
    • Porcelain inlays/onlays does not change color over time
    • Gives better esthetic appearance compared amalgam fillings

Types of Inlays and Onlays
Inlays and onlays can be made of porcelain, gold, or composite resin. Porcelain inlays mimic enamel’s translucency and color, making them attractive choices for patients. Gold alloy inlays and onlays possess greater durability.
The porcelain inlays and onlays used at Patong Smile Dental Clinic include the IPS Empress system and the new e-max crowns from Ivoclar Vivadent, Procera Nobel Esthetics from Nobel Biocare, and Cercon Smart Ceramic (Zirconium Crown) from Dentsply.

Procedure for Dental Inlays and Onlays Treatment
At the first visit, the old filling, or decay, is removed, and the tooth is prepared for the inlay / onlay. The dentist will then make an impression of the tooth, and send this impression to a dental laboratory. This impression will be used by the laboratory to construct a custom-made porcelain, or gold inlay / onlay. At this time the dentist will place a temporary sealant on your tooth and schedule a second appointment

At the second visit, the temporary sealant is removed. Your dentist will then ensure that the inlay / onlay fit properly in the tooth and do not interfere with your bite. The inlay / onlay is then bonded into the tooth with a strong bonding resin, and polished smooth.

Care for Dental Inlays and Onlays

• • • Simply follow good oral hygiene practices. Brush your teeth at least twice a day, floss at least once a day and see your dentist for regular professional check-ups and cleanings.
    • Because bonding material can chip, it is important to avoid such habits as biting fingernails; chewing on pens, ice or other hard food objects; or using your bonded teeth as an opener. If you do notice any sharp edges on a bonded tooth or if your tooth feels odd when you bite down, see your dentist.

Dental Veneers

Dental veneers (sometimes called porcelain veneers or dental porcelain laminates) are wafer-thin, custom-made shells of tooth-colored materials designed to cover the front surface of teeth to improve your appearance. These shells are bonded to the front of the teeth changing their color, shape, size or length.

Dental veneers can be made from porcelain or from resin composite materials. Porcelain veneers resist stains better than resin veneers and better mimic the light reflecting properties of natural teeth. Resin veneers are thinner and require removal of less of the tooth surface before placement. You will need to discuss the best choice of veneer material for you with your dentist.

Benefits of Veneers

• • • Porcelain veneer is an extremely durable material with a color, translucence and texture that is similar to tooth enamel
    • Corrects the alignment of teeth “instant braces”
    • Veneers can effectively close diastemas (gaps between teeth)
    • Lengthens and reshape teeth
    • Repairs chipped, broken, worn down or misshapen teeth
    • Covers tetracycline stains and discolorations such as fluorosis, prescence of large resin fillings
    • Gum tissue tolerates porcelain well
    • Color of a porcelain veneer can be selected such that it makes dark teeth appear whiter
    • Does not require extensive shaping that crowns do and is a stronger, more aesthetic alternative to bonding

The Advantage of porcelain veneers
• Porcelain veneers create a very life-like tooth appearance.
Porcelain veneers, because they are glass-like, have a great advantage over other types of cosmetic dental bonding by the fact that they are translucent. When they are bonded onto a tooth’s surface they mimic the light handling characteristics of enamel.

• Porcelain veneers resist staining.
A significant advantage of porcelain veneers over other types of cosmetic dental bonding is related to the fact that a porcelain veneer’s surface is just that, porcelain. Since porcelain is a ceramic, and therefore glass-like, its surface is extremely smooth and impervious. This means that the surface of a porcelain veneer will not pick up permanent stains.

How long will porcelain veneers last?
With good home care and by exercising good judgment, it seems likely that a porcelain veneer could last well in excess of ten years.

What should you do to take care of your porcelain veneers?
• Practice good oral home care.- Just as with any tooth, your veneered
tooth should be brushed and flossed thoroughly on a daily basis.
• Avoid exposing your porcelain veneers to excessive forces.- avoid biting
your fingernails or biting on hair pins, bottles, ice, or any other such hard
items because doing so can break or dislodge a veneer.
• Avoid clenching and grinding your teeth.
• Minimize staining influences.- Porcelain veneers are a great improvement
over other types of cosmetic dental bonding by the fact that their surface
is resistant to staining.

Types of Veneers
The porcelain veneers used is IPS Empress Esthetics from Ivoclar Vivadent . The opalescent IPS Empress Esthetic veneer layering materials imitates natural teeth.

Procedure for Dental Veneers Treatment
The procedure usually requires three trips to the dentist – one for a consultation and two to make and apply the veneers. One tooth or many teeth can simultaneously undergo the veneering process described below.

• • • Diagnosis and treatment planning. This first step involves active participation between you and your dentist. Explain to your dentist the result that you are trying to achieve. During this appointment your dentist will examine your teeth to make sure dental veneers are appropriate for you and discuss what the procedure will involve and some of its limitations. He or she also may take X-rays and possibly make impressions of your mouth and teeth.
    • Preparation. To prepare a tooth for a veneer, your dentist will remove about ? millimeter of enamel from the tooth surface, which is an amount nearly equal to the thickness of the veneer to be added to the tooth surface. Before trimming off the enamel, you and your dentist will decide the need for a local anesthetic to numb the area. Next, your dentist will make a model or impression of your tooth. This model is sent out to a dental laboratory, which in turn constructs your veneer. It usually takes 1 to 2 weeks for your dentist to receive the veneers back from the laboratory. For very unsightly teeth, temporary dental veneers can be placed for an additional cost.
    • Bonding. Before the dental veneer is permanently cemented to your tooth, your dentist will temporarily place it on your tooth to examine its fit and color. He or she will repeatedly remove and trim the veneer as needed to achieve the proper fit; the veneer color can be adjusted with the shade of cement to be used. Next, to prepare your tooth to receive the veneer, your tooth will be cleaned, polished and etched – which roughens the tooth to allow for a strong bonding process. A special cement is applied to the veneer and the veneer is then placed on your tooth. Once properly position on the tooth, your dentist will apply a special light beam to the dental veneer, which activates chemicals in the cement causing it to harden or cure very quickly. The final steps involve removing any excess cement, evaluating your bite and making any final adjustments in the veneer as necessary. Your dentist may ask you to return for a follow-up visit in a couple of weeks to check how your gums are responding to the presence of your veneer and to once again examine the veneer’s placement.

Recovery Expectations
Getting veneers put on your teeth involves minimal pain and discomfort. Unlike other dental procedures, there is no recovery period and virtually no side effects. The only discomfort you’re likely to experience is some sensitivity to cold and heat in the tooth that received the veneer. This sensitivity will disappear gradually over a few days to weeks.

Care for Dental Veneers
Practice good oral home care.- Just as with any tooth, your veneered tooth should be brushed and flossed thoroughly on a daily basis.
• Avoid exposing your porcelain veneers to excessive forces.- avoid biting
your fingernails or biting on hair pins, bottles, ice, or any other such hard
items because doing so can break or dislodge a veneer.
• Avoid clenching and grinding your teeth.
• Minimize staining influences.- Porcelain veneers are a great improvement
over other types of cosmetic dental bonding by the fact that their surface
is resistant to staining.

• • • Avoid chewing on or eating hard foods on the restorations for 24 hours from the time they were cemented
    • To help with discomfort or swelling rinse your mouth with warm salt water.
    • Avoid hot, cold or acidic food and beverages
    • Pain medication be taken as directed as long as there is no medical contradiction based upon your medical history
    • Use the proxy brush or floss threader to remove plaque under and around these areas to maintain good oral hygiene. Buildup of food debris and plaque on your teeth and gums can become infected.
    • Rinse with fluoride rinse before bed. Swish the fluoride rinse vigorously in your mouth for at least one minute. Do not swallow any of the rinse and do not eat or drink anything for 30 minutes
    • See your dentist for regular professional check-ups and cleanings

All ceramic system

The all-ceramic system used include the IPS Empress system, IPS Empress Esthetic and the new e-max crowns from Ivoclar Vivadent, Procera Nobel Esthetics from Nobel Biocare, and Cercon Smart Ceramic (Zirconium Crown) from Dentsply.

Porcelain fuse to metal crowns do not transmit light through the crown, resulting in a somewhat dull tooth appearance. All ceramic crown, on the other hand, allow for light transmission, so the entire tooth and the surrounding tissue are illuminated and lifelike in appearance.
IPS Empress System

IPS Empress is an all-ceramic crown system that gives you exceptional esthetics plus strength. A proven ceramic alternative to metallic restorations, IPS Empress offers patient satisfaction with aesthetic, natural looking restorations, by the exclusive use of ceramic materials. The utilization of bonded ceramic restorative materials is intended to reestablish function, shape, contour, color (hue, value and chroma), natural light transmission and strength of natural dentition.

Individually colored tooth restorations can be reproduced in exact shape and shade. The result is an individually fabricated restoration with an excellent fit and all the characteristics of a natural tooth. Even when working in limited space, optimum aesthetic results can be obtained.

The Empress system produces crowns, inlays/onlays and veneers, providing one of the strongest all-ceramic restorations available. The restoration is modeled in wax and invested in a specially formulated investment. The system’s furnace then allows the restoration to be pressed in leucite reinforced ceramic porcelain. After removal, the object is finished to the required aesthetic and anatomical specifications, using staining and layering techniques.

As for every all-ceramic system, the presence of a metallic post and core is not advisable, because of the shadow effect or the grayness of the substructure that inevitably results after cementation. This can be overcome by having the post and core fabricated in a ceramic metal, and a ceramic opaque fired to it. This is a two-step procedure with very pleasing results.

In the case of several single crowns or laminates, the same color is strongly recommended for all preparations (i.e., all substrates). To enhance the mechanical properties of this glass ceramic, the prosthetic restoration must be luted with an adhesive technique, using the latest generation dental adhesive. The composite cement must be chosen carefully to maintain the aesthetic properties of the all-ceramic restorations.

Principle: The highly innovative processing technology for all-ceramic offered by IPS Empress is creating new potential for producing natural looking restorations. A. Wohlwend at the University of Zurich further developed the idea of molding heated ceramic to reproduce accurate ceramic copies of wax models.

Method:In the IPS Empress system, the restoration with all its functional specifications is modeled in wax. Once the wax restoration has been invested and burned out, the heated, softened ceramic is pressed in the mold.
Material: The ceramic is based on glass that contains latent nucleating agents. In a process comprising several stages, controlled crystallization is used to produce leucite crystals, measuring a few microns, in the glass matrix. The semi-finished product of reinforced ceramic powder is pressed into ingots and sintered. These ingots are the basic components from which we press restorations. The constant high quality of the ceramic ingots ensures the reproduction of the physical values of the restorations.

• • • IPS Empress all-ceramics provide impressive aesthetic results because the materials look so natural.
    • IPS Empress all-ceramic are used to provide absolutely matel-free restorations. They are a bio-compatible alternative for people suffering from allergies.
    • IPS Empress all-ceramic are used at numerous universities throughout the world.

IPS E.MAX GLASS-CERAMICS

Reinforced glass-ceramics has been successfully used in all-ceramics in press technology for 15 years. Glass-ceramics can not only be just pressed but also milled by means of a state-of-the-art CAD/CAM technique.
IPS e.max Press are new highly aesthetic lithium disilicate glass-ceramic ingots with optimized homogeneity and high strength. They allow the fabrication of restorations with a high accuracy of fit. The strength of 400 MPa which has been unmatched to date by glass-ceramics enables conventional cementation.

In cases where you have dark color tooth such as from root canal treatment, and tetracycline stain, it is also possible to produce pressed all-ceramic restorations with the help of IPS e.max Press, since the ingots are also available with high opacity.
IPS e.max CAD is based on the same materials technology as IPS e.max Press and ideally unites the CAD/CAM processing technique with a high-performance lithium disilicate ceramic. The IPS e.max CAD blocks are used for fabricating tooth-coloured restorations with high strength in an innovative manufacturing process.

Indications:

• • • Anterior and posterior crowns
    • Anterior and premolar bridges (only IPS e.max Press)
    • Implant superstructures

Independent of the processing, both glass-ceramics IPS e.max Press and IPS e.max CAD offer a natural shade effect and promote light transmission into the restoration.
Thanks to the high strength values, IPS e.max Press and CAD restorations can be adhesively, self-adhesively (Multilink Sprint) and conventionally cemented.

The highlights:

• • • Highly aesthetic lithium disilicate glass-ceramic
    • Lifelike aesthetics independent of the shade of the prepared tooth
    • Adhesive, self-adhesive and conventional cementation due to the unrivalled strength of 360-400 MPa

IPS EMPRESS ESTHETIC
News from the IPS Empress Original System
The IPS Empress pressed ceramic system, which has been clinically proven for more than 15 years satisfies discerning users and patients all over the world. Twenty-five million placed restorations are testimony to the long-standing success of IPS Empress.

The Original System is continuously being developed, setting trends in the market with regard to aesthetics and function. The most recent innovation from the field of all-ceramics is called IPS Empress Esthetic. The material opens up a host of unexpected possibilities, particularly for veneers.

The new IPS Empress Esthetic Line offers heightened aesthetics, enhanced properties and cost effectiveness for the Staining Technique and partially layered veneers in your laboratory.

PROCERA SYSTEM
The secret behind Procera All Ceram is its unique combination of strength and beauty. Over the last few years, new technology has made dental porcelain more practical. Until now, porcelain coated ceramic copings has been neither strong enough nor durable enough for widespread use.

With the strength in the core material, Procera All Ceram can be recommended for prosthetic reconstructions anywhere in the mouth. More and more patients are asking for constructions made of material not containing metal or other alloys. Procera All Ceram is made of bio-compatible material (comparable to Titanium) which minimizes the risk of allergic reactions. No need to worry about your allergies when you use Procera All Ceram. The translucent coping offers remarkable esthetic characteristics. When combined with Procera All Ceram Porcelain the advantages are clearly demonstrated.

Procera All Ceram combines excellent and profound strength with beautiful esthetics. The material consists of 99.5 percent pure aluminum oxide and is biocompatible, thereby ensuring excellent long-term esthetics. Procera All Ceram is translucent giving the tooth a natural appearance. At the same time Procera All Ceram is excellent for concealing underlying surfaces, such as amalgam and root fillings. This ceramic is also customized but still industrially produced, ensuring predictable results. You should try quickly in your mouth with minimal adjustments.

Cercon System
With the Cercon system, a high-tech ceramic, Zirconium Oxide, is now available and has already been proven in many extreme situations such as heat shields in the Space Shuttle, brake disks for sports cars and the spherical heads of artificial hip joints. This high-tech ceramic has the potential to give prosthetic care a whole new image, because Cercon smart ceramics it can now be used in dentistry.

• • • Verified by the medical application of zirconium oxide for about 20 years
    • No allergic reactions reported in the published literature
    • No interaction with other dental materials
    • Good insulating behavior of the ceramic against cold/warm influences
    • Smooth ceramic surface that supports good oral hygiene
    • Well integrated to follow the natural contours of mouth. Together with natural teeth

A new all-ceramic material that imparts exceptional strength, beauty and biocompatibility

• 50% stronger than traditional all-ceramic materials
• Good for posterior bridge
• No dark metal margin
• Biocompatible –long history application in human artificial joints
• Clinically tested satisfaction from patients

First impression often determines what other people think of us. A beautiful smile can make all the difference. Understandably enough, many people harbour a desire for new teeth with a natural appeal. And with Cercon , our new high-tech all-ceramic material, this wish can now become reality. Cercon offers highly natural aesthetics paired with excellent compatibility. Thanks to the extreme Strength of its basic material, Zirconia,

it is now possible to create highly your durable all-ceramic crowns and bridges.